Testing co-produced solutions for service delivery redesign of primary care for people with diabetes
Diabetes
As this is a cluster RCT, the intervention package targets a group of primary health centres located in 6 randomly selected departments, and it will be implemented for 15 months. The intervention package aims to improve diabetes care at the primary healthcare level through a multifaceted approach that integrates patient-centred care, technology, education, and systemic coordination. At its core, the package prioritizes accessibility and continuity of care by introducing Protected Appointments, which allocate dedicated time slots for diabetes management and ensure patients receive care, including evaluations, glucose control, medication reviews, nutritional counselling, and complication monitoring. To enhance patient tracking and management, the package includes the creation of a Diabetes Patient Registry, which digitally records patient information. This registry ensures accurate monitoring and follow-up. Using WhatsApp for Communication leverages a widely accessible platform to send appointment reminders, educational messages, and follow-ups, improving patient engagement and adherence. Patient and Family Workshops and Family Support Workshops are designed to equip patients and their families with the knowledge and skills needed for effective diabetes management. These workshops cover topics such as glucose monitoring, healthy eating, exercise, emotional well-being, and emergency management, using interactive materials and community collaboration to deliver impactful sessions. To bridge gaps in specialist care, the package introduces telemedicine, enabling primary care physicians to seek second opinions from specialists via teleconsultations. Finally, the package emphasizes Coordination Between Levels of Care, establishing clear referral protocols and digital systems to streamline communication between primary, secondary, and tertiary care levels. Randomization process: A balanced randomization procedure will be implemented to ensure that the intervention and con
Current inclusion criteria as of 20/08/2025: 1. Adults residing in Mendoza who have been diagnosed with type 2 diabetes for at least 1 year 2. 18 years of age or older 3. Diagnosis of type 2 diabetes for at least 1 year 4. Residents of Mendoza Province 5. Assisting selected public PHC centres Previous inclusion criteria: 1. Adults residing in Mendoza with exclusive public insurance coverage who have been diagnosed with type 2 diabetes for at least 1 year 2. 18 years of age or older with exclusive public insurance coverage 3. Diagnosis of type 2 diabetes for at least 1 year 4. Residents of Mendoza Province 5. Assisting selected PHC centres
Less than 18 years old